Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.

The length of the two common iliac arteries varies according to the stature of the patient, and the place at which the aorta bifurcates. The common iliacs again divide into the...

121. Mr. Luke performs the operation by two flaps on the same principle as in the thigh. There is a close resemblance in the manner of amputating the arm by the double-flap oper...

A British soldier received a wound at the affair of El Boden, in front of Ciudad Rodrigo, from a sword, on the top of the head; he accompanied me to Alfaiates, on the retreat of...

113. _The operation by one_, or nearly one upper flap, is to be performed when the under soft parts of the arm have been destroyed, and the bone broken. It may be done by thrust...

280. Gunshot wounds of the skull are attended by certain peculiarities. In ordinary circumstances there is usually an external wound and a fracture more or less comminuted, with...

An officer was wounded on the right side, on the 9th December, 1813, the ball being cut out behind; his case was considered hopeless. An hour afterward, on being moved to the fi...

A counter-fracture or fissure of one parietal or temporal bone, caused by a blow on the opposite one, is of such rare occurrence that it is in general unnoticed by later writers...

186. When a round and small ligature is properly applied to an artery of a large size, such as the femoral, the sides of the vessel are brought together in a folded, plaited, or...

81. Amputation by the circular incision is to be done in the following manner: When a tourniquet is used, which it should not be, if the surgeon can depend on his assistants, th...

It sometimes happens that a portion of omentum is altogether without the cavity of the abdomen, and the opening through which it has protruded seems too small to allow its resto...

According to the principles laid down in this work, two errors were committed in this case. The first, in tying the gluteal artery _as it emerged from the pelvis_. The second, i...

A man fell down stairs and received an injury on the head from the fall which rendered him nearly insensible at the moment. There were no signs or appearances on the outside of...

A French grenadier was brought to the field hospital the second day after the battle of Salamanca; he had received a blow on the left side of the head, probably from a piece of...

The _first error_ committed in this case was in calling and believing a wounded artery to be a circumscribed, false, or diffused traumatic aneurism. Nothing can be called an ane...

392. When an incised wound in the intestine is not supposed to exceed a third of an inch in length, no interference should take place; for the nature and extent of the injury ca...

_Case of Lieutenant-Colonel Dumaresq, aid-de-camp to Lord Strafford, by himself._--While turning round, after a successful charge of infantry, at Hougomont, on the 18th of June,...

When a large shot or other solid substance has injured a limb to such an extent only as admits of the hope of its being possible to save it, this hope is sometimes found to be f...

141. A fracture of a bone, however _simple_ it may be in its nature, is said to be _compound_ when accompanied by an external opening in, or a wound of, the soft parts, communic...

Private William Leah, 30th Regiment, aged twenty-one, was brought to me on the 27th of June, while I was on duty in the trenches, with fracture of the external condyle of the hu...

422. As the operation for opening into the colon may be necessary, after an injury of that part, as well as from disease below it, the following method, recommended by Mr. Hilto...

Private A. Clarke, 79th Regiment, had his thigh broken by a musket-ball a little above the knee-joint, at Waterloo, and was admitted into the clinical ward of the York Hospital,...

332. _The important question of hemorrhage_, in cases of incised wounds admitting of being accurately closed, remains for consideration. In many instances, the quantity of blood...

William Barrett, of the Life Guards, a middle aged, muscular man, of full habit, was wounded by a musket-ball at the battle of Waterloo; it fractured the third and fourth ribs b...

On the day preceding the battle of Fuentes d’Onor, in 1811, Sergeant Barry was wounded in the chest. The ball entered close to the nipple of the left breast, and passed out at t...

192. When a large artery is wounded at some depth from the surface, and the external opening is small, blood not only issues through the opening, but is often forced into the ce...

315. Two symptoms have been insisted upon by older authors as distinctive of effusion in the chest, which more modern ones are disposed to doubt, particularly in the early stage...

Skielderup recommends this operation to be done by first trepanning the sternum a little below the spot where the cartilage of the fifth rib is united to that bone, at which par...

Deputy Inspector-General Taylor informs me that “a young muscular man, of the siege-train, had his left thigh nearly carried off at its middle by a cannon-shot at Sebastopol. Th...

20. In making incisions for the removal of balls in the vicinity of large vessels, particularly in the neck, the hand should always be unsupported, in order to prevent an accide...

237. The brachial artery can be traced by its pulsation from the lower edge of the teres major muscle to below the bend of the arm, where it is covered by the pronator radii ter...

July 5th.--The adnatæ have a yellow tinge; in other respects he is doing well. ℞.--Chlorid. hydrarg. gr. x; extr. colocynth. comp. ʒj: to be made into ten pills, one to be taken...

417. The urine, in most cases of injury below the peritoneum, flows readily through the wound of entrance, if not of exit, in the first instance, and care should be taken, by en...

When the nature of the injury renders amputation necessary at or immediately below the tuberosity of the tibia, the operation may be done with safety. Baron Larrey recommended t...

Operation performed about one P.M. 9th of September.--An incision, about four inches in length, commencing a little above the trochanter, was carried downward along the outer si...

97. Amputation at the tarsus, when it is proposed to save the flap from the under part of the foot, is performed in the following manner: The joints of the metatarsus with the t...

246. When an injury is not immediately fatal, and life, although for a time in imminent danger, is not destroyed, yet fluctuates on the verge of destruction, gradually to be res...

The sloughing matter mixed with coagulated blood readily yielded to the back of the knife, but was not easily dissected out. The spot which the arterial blood came from was dist...

In some less important cases of injury, one bleeding will answer the purpose; cupping and leeches may also be resorted to with advantage; but in all very severe ones general blo...

Pause again. The surgeon has just done nearly the outer half of the operation as to cutting, for removing the whole limb at the joint; and if he should now find that the bone is...

320. _Pneumothorax_ means an effusion of air and of the matter of a tubercular abscess from disease into the cavity of the chest, or from an injury or a wound in the lung. When...

It has been proposed to destroy protrusions of the brain with escharotics, and by ligature; and more faith has sometimes been placed in the knife for their early removal than in...

177. When the current of blood through the main trunk of the arteries of an extremity is cut off, the circulation is carried on by the collateral branches. This collateral circu...

The symptoms which ensue after a wound of the liver are those common to inflammation of the cavity of the abdomen, with the addition of those peculiar to the organ--pulse often...

230. The carotid artery may be tied, in almost any part of its course, in the following manner: The patient being seated, with the shoulders supported, so that the light may fal...

A dragoon of the King’s German Legion, shot in a nearly similar manner on the same occasion, suffered more severely: the clavicle and first rib were splintered to a greater exte...

A ball striking obliquely against the wall of the abdomen has been said to run sometimes nearly round under the skin, or between the muscles and the peritoneum, a proceeding upo...

164. This most destructive disease owes its names of hospital gangrene, phagedena, gangrenosa, _pourriture d’hôpital_, sloughing ulcer, etc. etc. to the different appearances th...

323. Mr. J. Bell had so alarmed all military surgeons by stating, in his able discourses on the Nature and Cure of Wounds, that emphysema was “peculiarly frequent in gunshot wou...

The treatment of this wound, however, was most painful; the extraction of several pieces of bone was necessary at different times, during the three following years, before the w...

The same kind of yellowish-green matter marks and conceals the situation of the lower extremity of the artery in the wound as it does the upper. It is, however, thinner where it...

3. When a limb is carried away by a cannon-shot, any destructive bleeding usually ceases with the faintness and failure of strength subsequent on the shock, and a hemorrhage thu...

The lesson learned at Berry Head was not forgotten during the five subsequent years passed in British North America. The men were as healthy, the winds were sharper and colder,...

The _cough_ is usually dry in the commencement of idiopathic pneumonia, rarely recurring by paroxysms, and is without any particular indication; it is soon, however, accompanied...

A soldier of the 40th Regiment slipped from the ladder on which he was attempting to scale the wall near the great breach of Badajos, and fell on his cartridge-box, which hurt h...

HOSPITAL GANGRENE: its synonyms; may be caused by the use of charpie, instruments, bandages, etc., which have been previously employed on infected parts; is a highly contagious...

Quekett, Mr., experiments on the anatomy of the parts engaged in empyema, and the operation by incision, 452. on the structure of the agminated glands of Grew and Peyer, 486.

Twenty months have elapsed since the Introductory Lecture was published in THE LANCET; fifteen others succeeded at intervals, and fifteen have been printed separately to complet...

M. Maisonneuve, of Paris, lately laid the following most instructive case before the Academy of Medicine: A lady was shot by her husband, who stood close to her, with a pistol l...

Amputation, primary, not required in gunshot wounds of the upper extremity, 120. aphorisms on, 73. at the ankle-joint, Mr. Syme’s operation for, 105. of the arm below the tubero...

“At the same time that hospital gangrene was prevalent at Ferozepore, some wounds took on a malignant fungous affection, which spread over the healthy surface like the hospital...

68. As a tourniquet cannot be applied in this amputation, nor even at that of the shoulder-joint, without doing harm, its inutility in the greatest operations is proved; and rec...

Chap. IV.--Distinction between Surgery as practiced in the Army and Civil Life. Soldiers as patients, and the character of the Injuries to which they are liable. Some peculiarit...

157. The best apparatus for a compound fracture of the leg in either civil or military surgery, particularly in the latter, is that contrived by Mr. Luke, which may be seen in u...